Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00802 | Date 25/01/2020 |
| Token No | SM/19-20/1802 25/01/2020 | Serial | 009 |
| Patient Name | Mrs. KRISHNA BENI SWAIN | Contact No | 9883194864 |
| Address | 15/A K C LANE SERAMPORE | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||